DR P. MARAZZI / SCIENCE PHOTO LIBRARY DR P. MARAZZI / SCIENCE PHOTO LIBRARY
Bowel cancer laparoscopy. Footage of the view obtained by an endoscopic camera used during a laparoscopic inspection of a 65-year-old woman's abdominal (peritoneal) cavity in a case of bowel cancer. The first few seconds show views of the surgeons and the operating theatre. Then the endoscopic camera is inserted through a keyhole port and inside the patient's abdomen. The yellow material is internal fat deposits, with blood vessels (red) seen on internal organs which here include the intestines. About a third of way through the clip, the camera is used to observe a second keyhole port being inserted, with the tip seen penetrating into the abdominal cavity. The camera is then moved around to explore various features. Mid-way through the clip, a set of endoscopic forceps is used to move some of the tissue to help identify the organs. The cavity itself, normally compressed, is here distended by the injection of a gas such as carbon dioxide. This procedure was later converted into an open operation where the surgeons removed (debulked) most of the tumour. It was a primary cancer that had already spread elsewhere in the patient's body, but the procedure was still performed in order to provide relief (palliation) from symptoms (see clips K002/9677 to K002/9639). Bowel cancer (also called colon cancer or colorectal cancer) affects the lining of the large intestine. It is one of the most common cancers in the developed world.
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